DR. JOHN RAHUL TEDROW (NPI# 1174723407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174723407 |
| Entity Type | Individual |
| Full Name | DR. JOHN RAHUL TEDROW |
| Credential | M.D. |
| Practice Address |
77 Warren St 2nd Floor Brighton MA 02135-3601 |
| Mailing Address |
77 Warren St 4th Floor Brighton MA 02135-3601 |
| Practice Telephone | 6177892545 |
| Practice Fax Number | 6177892893 |
| Mailing Telephone | 6177892545 |
| Mailing Fax Number | 6177892893 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2017-05-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
269302 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487897567 | John W Tedrow | Physician Assistant | 401 Lincoln Park Dr, New Lexington, OH 43764-1033 | 2009-04-20 |
| Street Address |
77 WARREN ST 2ND FLOOR |
| City | BRIGHTON |
| State | MA |
| Zip Code | 02135-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235131194 | Roger F Cohen | Clinical Neuropsychologist | 77 Warren St, Suite 453, Brighton, MA 02135-3601 | 2005-08-11 |
| 1699383489 | Rhianna Candido | Registered Nurse | 77 Warren St, Brighton, MA 02135-3601 | 2020-07-17 |
| 1770101586 | Jennie Vaughan Hollyday | Peer Specialist | 77 Warren St, Brighton, MA 02135-3601 | 2020-07-08 |
| 1922620863 | Jonathan Kolodziej | Social Worker | 77 Warren St, Brighton, MA 02135-3601 | 2020-05-14 |
| 1114401098 | Hayley Youngstrom | Social Worker | 77 Warren St, Brighton, MA 02135-3601 | 2018-09-18 |
| 1548744436 | Kelsey Elizabeth Connolly | Social Worker | 77 Warren St, Brighton, MA 02135-3601 | 2018-09-18 |
| 1629551585 | Caitlyn Burns | Counselor | 77 Warren St, Brighton, MA 02135-3601 | 2018-09-07 |
| 1790294981 | Evan Moran Queenan | Counselor | 77 Warren St, Brighton, MA 02135 | 2017-09-20 |
| 1609395615 | Hannah Goehner | Student in an Organized Health Care Education/Training Program | 77 Warren St, Brighton, MA 02135-3601 | 2017-09-12 |
| 1669990727 | Yasmin A Santos | Registered Nurse | 77 Warren St, Brighton, MA 02135 | 2017-09-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392944 | Nur Zeynep Ay | Student in an Organized Health Care Education/Training Program | 736 Cambridge Street St Elizabeths Medical Center, Graduate Medical Education (diane Giacalone), Boston, MA 02135 | 2020-07-02 |
| 1104470673 | Domenique Delucia | Counselor | 77f Warren Street, Brighton, MA 02135 | 2019-08-01 |
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
| 1124501960 | Ellen Elizabeth Miller | Social Worker | 44 Mt Vernon St, Brighton, MA 02135 | 2018-09-07 |
| 1710466180 | Sharon Pae | Acupuncturist | 135 Chiswick Rd Bsmt, Brighton, MA 02135 | 2018-08-07 |
| 1750877155 | Leonid Sigal | Counselor | 9 South St Apt 2, Brighton, MA 02135 | 2018-07-09 |
| 1689165425 | Brian George Mcguire | Dentist | 24 Sidlaw Rd, Brighton, MA 02135 | 2018-05-29 |
| 1619467214 | Ashley Marie Arbuckle | Counselor | 77 Waren Street, Building 9, Brighton, MA 02135 | 2018-05-18 |
| 1871098962 | Arina Sorokina | Dentist | Charles River Community Health Center, 495 Western Avenue, Allston, MA 02135 | 2018-03-29 |
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| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073736302 | Hernan M Avella | Internal Medicine | 77 Warren St Fl 2, Brighton, MA 02135 | 2007-04-11 |
| 1740275668 | Sadamu Ishikawa | Internal Medicine | 736 Cambrige St, Seton Pavillion 3rd Floor, Brighton, MA 02135 | 2005-09-16 |
| 1114202884 | Hisashi Tsukada | Internal Medicine | 736 Cambridge St, Brighton, MA 02135-2907 | 2011-10-13 |
| 1740500560 | Andrew Moraco | Internal Medicine | 77 Warren St Fl 2, Brighton, MA 02135-3601 | 2010-06-03 |
| 1912104860 | Danai Khemasuwan | Internal Medicine | 77 Warren St Fl 2, Brighton, MA 02135-3601 | 2007-07-02 |
| 1548363518 | John N Unterborn | Internal Medicine | 11 Nevins St, Suite 202, Brighton, MA 02135-3514 | 2006-09-06 |
| 1194762153 | James I Meyer | Internal Medicine | 1606 Prairie Center Parkway, Suite #310, Brighton, CO 80601 | 2006-05-31 |
| 1912956038 | Armin Ernst | Internal Medicine | 736 Cambridge St, Brighton, MA 02135-2907 | 2006-05-08 |
| 1942275169 | Gerard B. Hayes | Internal Medicine | 736 Cambridge St, 3rd Floor Seton Pavillion, Brighton, MA 02135 | 2006-02-21 |
| 1356322382 | Edwin M Trayner Jr. | Internal Medicine | 736 Cambridge St, Seton Pavillion, 3rd Floor, Brighton, MA 02135-2907 | 2005-11-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.